2013년 12월 2일 월요일

오전 9:00

By Eugenia Finnie

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About 'indian accounting standard'|...of betraying those, the Indians, whom he considered his...retrospectively judging literary work by the standards of another millennium may yet cut both ...







About 'indian accounting standard'|...of betraying those, the Indians, whom he considered his...retrospectively judging literary work by the standards of another millennium may yet cut both ...








Ｔｈｅ               ｄｒｕｇ               ｍｉｓｏｐｒｏｓｔｏｌ,               ｃｏｎｄｅｍｎｅｄ               ａｓ               ｄａｎｇｅｒｏｕｓ               ｗｈｅｎ               ｕｓｅｄ               "ｏｆｆ               ｌａｂｅｌ"               ｆｏｒ               ｐｕｒｐｏｓｅｓ               ｓｕｃｈ               ａｓ               ｉｎｄｕｃｉｎｇ               ｌａｂｏｒ               ｏｒ               ａｓ               ａｎ               ａｄｊｕｎｃｔｉｖｅ               ｄｒｕｇ               ｄｕｒｉｎｇ               ｅｌｅｃｔｉｖｅ               ａｂｏｒｔｉｏｎｓ               ｈａｓ               ｂｅｅｎ               ｐｒｏｖｅｎ               ｔｏ               ｂｅ               ａ               ｓａｆｅ,               ｃｏｎｖｅｎｉｅｎｔ,               ａｎｄ               ｉｎｅｘｐｅｎｓｉｖｅ               ｍｅａｎｓ               ｔｏ               ｐｒｅｖｅｎｔ               ｐｏｓｔｐａｒｔｕｍ               ｈｅｍｏｒｒｈａｇｅ,               ａ               ｍａｊｏｒ               ｋｉｌｌｅｒ               ｏｆ               ｗｏｍｅｎ               ｉｎ               ｄｅｖｅｌｏｐｉｎｇ               ｃｏｕｎｔｒｉｅｓ.

Ｉｎ               ｄｅｖｅｌｏｐｅｄ               ｃｏｕｎｔｒｉｅｓ,               ｗｈｅｒｅ               ｔｈｅ               ｍａｊｏｒｉｔｙ               ｏｆ               ｂｉｒｔｈｓ               ｏｃｃｕｒ               ｉｎ               ｈｏｓｐｉｔａｌｓ               ａｎｄ               ｅｍｅｒｇｅｎｃｙ               ｃａｒｅ               ｉｓ               ａｖａｉｌａｂｌｅ,               ｄｅａｔｈｓ               ｆｒｏｍ               ｐｏｓｔｐａｒｔｕｍ               ｈｅｍｏｒｒｈａｇｅ               ａｒｅ               ｒａｒｅ.

Ｈｏｗｅｖｅｒ,               ｔｈｅ               ｃｏｎｄｉｔｉｏｎ               ｃａｎ               ｂｅ               ｌｉｆｅ-ｔｈｒｅａｔｅｎｉｎｇ               ｉｎ               ｃｏｕｎｔｒｉｅｓ               ｗｈｅｒｅ               ｍｏｓｔ               ｂｉｒｔｈｓ               ｏｃｃｕｒ               ａｔ               ｈｏｍｅ               ａｎｄ               ｅｍｅｒｇｅｎｃｙ               ｃａｒｅ               ｉｓ               ｎｏｔ               ａｌｗａｙｓ               ａｖａｉｌａｂｌｅ.
               Ｉｎ               ｒｕｒａｌ               ,               ｗｈｅｒｅ               ｔｈｅ               ｓｔｕｄｙ               ｔｏｏｋ               ｐｌａｃｅ,               50               %               ｏｆ               ｂｉｒｔｈｓ               ｏｃｃｕｒ               ａｔ               ｈｏｍｅ               ｏｒ               ｉｎ               ｆａｃｉｌｉｔｉｅｓ               ｗｉｔｈｏｕｔ               ａ               ｐｈｙｓｉｃｉａｎ               ｉｎ               ａｔｔｅｎｄａｎｃｅ               ａｎｄ               ｅｓｔｉｍａｔｅｄ               ｍａｔｅｒｎａｌ               ｄｅａｔｈ               ｒａｔｅ               ｉｎ               ｔｈａｔ               ｃｏｕｎｔｒｙ               ｉｓ               407               ｗｏｍｅｎ               ｆｏｒ               ｅｖｅｒｙ               100,000               ｂｉｒｔｈｓ.

Ｔｈｅ               ｓｔｕｄｙ               ａｌｓｏ               ｃｉｔｅｄ               ｅｓｔｉｍａｔｅｓ               ｔｈａｔ,               ｗｏｒｌｄｗｉｄｅ,               ａｂｏｕｔ               500,000               ｍａｔｅｒｎａｌ               ｄｅａｔｈｓ               ｏｃｃｕｒ               ｄｕｒｉｎｇ               ｃｈｉｌｄｂｉｒｔｈ               ｅａｃｈ               ｙｅａｒ,               ｗｉｔｈ               ｐｏｓｔｐａｒｔｕｍ               ｈｅｍｏｒｒｈａｇｅ               ａｃｃｏｕｎｔｉｎｇ               ｆｏｒ               ａｂｏｕｔ               30               ｐｅｒｃｅｎｔ               ｏｆ               ｔｈｏｓｅ               ｄｅａｔｈｓ.

Ｔｈｅ               ｃｏｍｐａｒａｂｌｅ               ｒａｔｅ               ｉｎ               ｔｈｅ               ｉｓ               ａｂｏｕｔ               10               ｍａｔｅｒｎａｌ               ｄｅａｔｈｓ               ｐｅｒ               100,000               ｂｉｒｔｈｓ,               ｗｉｔｈ               ｐｏｓｔｐａｒｔｕｍ               ｈｅｍｏｒｒｈａｇｅ               ａｃｃｏｕｎｔｉｎｇ               ｆｏｒ               ａｂｏｕｔ               17               ｐｅｒｃｅｎｔ               ｏｆ               ｔｈｅｓｅ               ｄｅａｔｈｓ.
               Ｔｈｅ               ｓｔｕｄｙ,               ｗｈｉｃｈ               ｗａｓ               ｃｏｎｄｕｃｔｅｄ               ｂｙ               ｒｅｓｅａｒｃｈｅｒｓ               ｆｒｏｍ               ｔｈｅ               Ｕｎｉｖｅｒｓｉｔｙ               ｏｆ               Ｍｉｓｓｏｕｒｉ,               Ｉｎｄｉａ'ｓ               Ｊａｗａｈａｒｌａｌ               Ｎｅｈｒｕ               Ｍｅｄｉｃａｌ               Ｃｏｌｌｅｇｅ,               ａｎｄ               ｔｈｅ               Ｎａｔｉｏｎａｌ               Ｉｎｓｔｉｔｕｔｅｓ               ｏｆ               Ｈｅａｌｔｈ,               ａｐｐｅａｒｓ               ｉｎ               ｔｈｅ               Ｏｃｔｏｂｅｒ               7,               2006               ｉｓｓｕｅ               ｏｆ               Ｌａｎｃｅｔ               ａｎｄ               ｗａｓ               ｆｕｎｄｅｄ               ｂｙ               ｔｈｅ               Ｇｌｏｂａｌ               Ｎｅｔｗｏｒｋ               ｆｏｒ               Ｗｏｍｅｎ'ｓ               ａｎｄ               Ｃｈｉｌｄｒｅｎ'ｓ               Ｈｅａｌｔｈ               Ｒｅｓｅａｒｃｈ,               ａ               ｐｕｂｌｉｃ-ｐｒｉｖａｔｅ               ｐａｒｔｎｅｒｓｈｉｐ               ｂｅｔｗｅｅｎ               ｔｈｅ               Ｎａｔｉｏｎａｌ               Ｉｎｓｔｉｔｕｔｅ               ｏｆ               Ｃｈｉｌｄ               Ｈｅａｌｔｈ               ａｎｄ               Ｈｕｍａｎ               Ｄｅｖｅｌｏｐｍｅｎｔ               (ｐａｒｔ               ｏｆ               ｔｈｅ               Ｎａｔｉｏｎａｌ               Ｉｎｓｔｉｔｕｔｅｓ               ｏｆ               Ｈｅａｌｔｈ)               ａｎｄ               ｔｈｅ               Ｂｉｌｌ               ａｎｄ               Ｍｅｌｉｎｄａ               Ｇａｔｅｓ               Ｆｏｕｎｄａｔｉｏｎ.
               Ｔｈｅ               ｓｔｕｄｙ,               ｃｏｎｄｕｃｔｅｄ               ｂｅｔｗｅｅｎ               Ｓｅｐｔｅｍｂｅｒ,               2002,               ａｎｄ               Ｄｅｃｅｍｂｅｒ,               2005,               ｗａｓ               ａ               ｐｌａｃｅｂｏ-ｃｏｎｔｒｏｌｌｅｄ               ｔｒｉａｌ               ｉｎｖｏｌｖｉｎｇ               1,620               ｗｏｍｅｎ               ｉｎ               ｒｕｒａｌ               ｗｈｏ               ｒｅｃｅｉｖｅｄ               ｅｉｔｈｅｒ               ｏｒａｌ               ｍｉｓｏｐｒｏｓｔｏｌ               ｏｒ               ａ               ｐｌａｃｅｂｏ               ａｆｔｅｒ               ｄｅｌｉｖｅｒｙ.

25               ａｕｘｉｌｉａｒｙ               ｎｕｒｓｅ               ｍｉｄｗｉｖｅｓ               ｕｎｄｅｒｔｏｏｋ               ｔｈｅ               ｄｅｌｉｖｅｒｉｅｓ,               ａｄｍｉｎｉｓｔｅｒｅｄ               ｔｈｅ               ｓｔｕｄｙ               ｄｒｕｇ,               ａｎｄ               ｍｅａｓｕｒｅｄ               ｂｌｏｏｄ               ｌｏｓｓ.
               Ａｔ               ｔｈｅ               ｃｏｎｃｌｕｓｉｏｎ               ｏｆ               ｔｈｅ               ｓｔｕｄｙ               ｉｔ               ｗａｓ               ｆｏｕｎｄ               ｔｈａｔ               ｏｎｌｙ               6.4               %               ｏｆ               ｔｈｅ               ｗｏｍｅｎ               ｔｈａｔ               ｒｅｃｅｉｖｅｄ               ｍｉｓｏｐｒｏｓｔｏｌ               ｗｅｒｅ               ｌｉｋｅｌｙ               ｔｏ               ｈａｖｅ               ｅｘｐｅｒｉｅｎｃｅｄ               ａｃｕｔｅ               ｐｏｓｔｐａｒｔｕｍ               ｈｅｍｏｒｒｈａｇｅ               (ｄｅｆｉｎｅｄ               ａｓ               ｔｈｅ               ｌｏｓｓ               ｏｆ               ｆｒｏｍ               500               ｍｉｌｌｉｌｉｔｅｒｓ               [ｍｌ]               ｔｏ               ｊｕｓｔ               ｕｎｄｅｒ               1000               ｍｌ               ｏｆ               ｂｌｏｏｄ               ｏｒ               ｓｌｉｇｈｔｌｙ               ｍｏｒｅ               ｔｈａｎ               ａ               ｐｉｎｔ               ｔｏ               ｓｌｉｇｈｔｌｙ               ｍｏｒｅ               ｔｈａｎ               ａ               ｑｕａｒｔ.)               ｃｏｍｐａｒｅｄ               ｗｉｔｈ               12               %               ｉｎ               ｔｈｅ               ｐｌａｃｅｂｏ               ｇｒｏｕｐ.

Ｔｈｅ               ｍｉｓｏｐｒｏｓｔｏｌ               ｇｒｏｕｐ               ａｌｓｏ               ｈａｄ               ｆｅｗｅｒ               ｏｃｃｕｒｒｅｎｃｅｓ               ｏｆ               ａｃｕｔｅ               ｓｅｖｅｒｅ               ｐｏｓｔｐａｒｔｕｍ               ｈｅｍｏｒｒｈａｇｅ               -               ｔｈｅ               ｌｏｓｓ               ｏｆ               1000               ｍｌ               ｏｒ               ｍｏｒｅ               ｏｆ               ｂｌｏｏｄ.

Ｏｖｅｒａｌｌ,               ｔｈｅ               ｒｅｓｅａｒｃｈｅｒｓ               ｒｅｐｏｒｔｅｄ               ｔｈａｔ               ｏｎｅ               ｃａｓｅ               ｏｆ               ｐｏｓｔｐａｒｔｕｍ               ｈｅｍｏｒｒｈａｇｅ               ｗａｓ               ｐｒｅｖｅｎｔｅｄ               ｆｏｒ               ｅｖｅｒｙ               18               ｗｏｍｅｎ               ｔｒｅａｔｅｄ.
               Ｉｎ               ｄｅｖｅｌｏｐｅｄ               ｃｏｕｎｔｒｉｅｓ,               ｏｘｙｔｏｃｉｎ               ｉｓ               ｔｈｅ               ｓｔａｎｄａｒｄ               ｄｒｕｇ               ｕｓｅｄ               ｔｏ               ｐｒｅｖｅｎｔ               ｐｏｓｔｐａｒｔｕｍ               ｈｅｍｏｒｒｈａｇｅ               ａｎｄ               ｓｔｏｐｓ               ｂｌｅｅｄｉｎｇ               ｉｎ               ｔｈｅ               ｕｔｅｒｕｓ               ｂｙ               ｃａｕｓｉｎｇ               ｔｈｅ               ｕｔｅｒｕｓ               ｔｏ               ｃｏｎｔｒａｃｔ.

Ｈｏｗｅｖｅｒ,               ｏｘｙｔｏｃｉｎ               ｍｕｓｔ               ｂｅ               ｋｅｐｔ               ｃｏｌｄ               ａｎｄ               ｍｕｓｔ               ｂｅ               ｇｉｖｅｎ               ｂｙ               ｔｒａｉｎｅｄ               ｍｅｄｉｃａｌ               ｐｅｒｓｏｎｎｅｌ               -               ｃｏｎｄｉｔｉｏｎｓ               ｔｈａｔ               ｍａｋｅ               ｉｔ               ｕｎｓｕｉｔａｂｌｅ               ｆｏｒ               ｕｓｅ               ｉｎ               ｐａｒｔｓ               ｏｆ               ｔｈｅ               ｗｏｒｌｄ               ｗｈｅｒｅ               ｍｏｓｔ               ｂｉｒｔｈｓ               ａｒｅ               ａｔ               ｈｏｍｅ               ａｎｄ               ｒｅｆｒｉｇｅｒａｔｉｏｎ               ａｎｄ               ｓｋｉｌｌｅｄ               ｍｅｄｉｃａｌ               ｐｅｒｓｏｎｎｅｌ               ａｒｅ               ｉｎ               ｓｈｏｒｔ               ｓｕｐｐｌｙ.
               Ｍｉｓｏｐｒｏｓｔｏｌ,               ｗｈｉｃｈ               ａｌｓｏ               ｓｔｏｐｓ               ｕｔｅｒｉｎｅ               ｂｌｅｅｄｉｎｇ               ｂｙ               ｃａｕｓｉｎｇ               ｔｈｅ               ｕｔｅｒｕｓ               ｔｏ               ｃｏｎｔｒａｃｔ,               ｄｏｅｓ               ｎｏｔ               ｒｅｑｕｉｒｅ               ｒｅｆｒｉｇｅｒａｔｉｏｎ,               ｃａｎ               ｂｅ               ｇｉｖｅｎ               ｏｎｃｅ               ａｆｔｅｒ               ｄｅｌｉｖｅｒｙ               ａｓ               3               ｏｒａｌ               ｔａｂｌｅｔｓ               ｃｏｓｔｉｎｇ               ａｓ               ｌｉｔｔｌｅ               ａｓ               $.14               ｅａｃｈ,               ａｎｄ               ｄｏｅｓ               ｎｏｔ               ｒｅｑｕｉｒｅ               ｈｉｇｈｌｙ               ｔｒａｉｎｅｄ               ｐｅｒｓｏｎｎｅｌ               ａｎｄ               ｉｔ               ｃａｎ               ｂｅ               ｇｉｖｅｎ               ｂｙ               ｓｅｍｉ-ｓｋｉｌｌｅｄ               ｂｉｒｔｈ               ａｔｔｅｎｄａｎｔｓ.
               Ａｃｃｏｒｄｉｎｇ               ｔｏ               ｔｈｅ               ｓｕｍｍａｒｙ               ａｐｐｅａｒｉｎｇ               ｗｉｔｈ               ｔｈｅ               Ｌａｎｃｅｔ               ｒｅｐｏｒｔ               "Ｏｒａｌ               ｍｉｓｏｐｒｏｓｔｏｌ               ｗａｓ               ａｓｓｏｃｉａｔｅｄ               ｗｉｔｈ               ｓｉｇｎｉｆｉｃａｎｔ               ｄｅｃｒｅａｓｅｓ               ｉｎ               ｔｈｅ               ｒａｔｅ               ｏｆ               ａｃｕｔｅ               ｐｏｓｔｐａｒｔｕｍ               ｈｅｍｏｒｒｈａｇｅ               ａｎｄ               ｍｅａｎ               ｂｌｏｏｄ               ｌｏｓｓ.

Ｔｈｅ               ｄｒｕｇ'ｓ               ｌｏｗ               ｃｏｓｔ,               ｅａｓｅ               ｏｆ               ａｄｍｉｎｉｓｔｒａｔｉｏｎ,               ｓｔａｂｉｌｉｔｙ,               ａｎｄ               ａ               ｐｏｓｉｔｉｖｅ               ｓａｆｅｔｙ               ｐｒｏｆｉｌｅ               ｍａｋｅ               ｉｔ               ａ               ｇｏｏｄ               ｏｐｔｉｏｎ               ｉｎ               ｒｅｓｏｕｒｃｅ-ｐｏｏｒ               ｓｅｔｔｉｎｇｓ."
               Ｄｉｓｃｌａｉｍｅｒ
               Ｔｈｅ               ｉｎｆｏｒｍａｔｉｏｎ               ｐｒｅｓｅｎｔｅｄ               ｉｎ               ｔｈｉｓ               ａｒｔｉｃｌｅ               ａｎｄ               ｉｔｓ               ｉｎｃｌｕｄｅｄ               ｌｉｎｋｓ               ｉｓ               ｏｆ               ａｎ               ｉｎｆｏｒｍａｔｉｏｎａｌ               ｎａｔｕｒｅ               ｏｎｌｙ               ａｎｄ               ｉｓ               ｎｏｔ               ｉｎｔｅｎｄｅｄ               ａｓ               ａ               ｒｅｃｏｍｍｅｎｄａｔｉｏｎ               ｏｆ               ａｎｙ               ｃｈａｎｇｅｓ               ｉｎ               ｔｈｅ               ｒｅａｄｅｒ'ｓ               ｈｅａｌｔｈ               ｃａｒｅ               ｐｒｏｇｒａｍ.

Ｂｅｆｏｒｅ               ｍａｋｉｎｇ               ａｎｙ               ｃｈａｎｇｅｓ               ｉｎ               ｄｉｅｔ,               ｍｅｄｉｃａｔｉｏｎｓ,               ｏｒ               ｏｔｈｅｒ               ｔｒｅａｔｍｅｎｔｓ               ｔｈｅ               ｒｅａｄｅｒ               ｉｓ               ｓｔｒｏｎｇｌｙ               ａｄｖｉｓｅｄ               ｔｏ               ｃｏｎｓｕｌｔ               ｗｉｔｈ               ｔｈｅｉｒ               ｈｅａｌｔｈ               ｃａｒｅ               ｐｒｏｖｉｄｅｒ.






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    댓글 1개:

    1. Ezzusindia2020년 1월 22일 오전 3:13

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